ROBERTA SUE PENZINER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007854

License Status

INACTIVE

Business

First Name

ROBERTA SUE

Last Name

PENZINER

Business Name

ROBERTA SUE PENZINER

Original Issue Date

10/07/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/13/2006